Organization Active NPI

Robin Lawrence Schaeffer PHD Helene Schaeffer PHD a Psychological Corp

  • Clinical Psychologist
  • Modesto, CA
National Provider Identifier
1669833554
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY4043 Issued in CA
Legal business name
ROBIN LAWRENCE SCHAEFFER PHD HELENE SCHAEFFER PHD A PSYCHOLOGICAL CORP
Practice address
225 W Granger Ave
Modesto, CA 95350-4425
Phone
(209) 577-0883
Fax
(209) 577-0889
NPI assigned
Mar 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robin L Schaeffer, PH.D.
Title
President
Phone
(209) 577-0883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY4043 CA Primary

Addresses

Primary practice location

225 W Granger Ave
Modesto, CA 95350-4425

Mailing address

225 W Granger Ave
Modesto, CA 95350-4425
Phone (209) 577-0883

National Provider Directory

National Provider Directory

Locations

225 W Granger Ave
Modesto, CA 95350
Phone (209) 575-5213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1669833554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W GRANGER AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504425",
            "telephone_number": "209-577-0883",
            "fax_number": "209-577-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W GRANGER AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504425",
            "telephone_number": "209-577-0883",
            "fax_number": "209-577-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN LAWRENCE SCHAEFFER PHD HELENE SCHAEFFER PHD A PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-577-0883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.